Abraham, Manjusha
Abraham, Manjusha is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Abraham, Manjusha can be contacted via phone (314) 454-2527.Contact Information
Primary practice address
1 Childrens Pl Div Ped Critical Care Med
Saint Louis MO 63110-1002
Phone: (314) 454-2527
Fax: (314) 747-8880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2015028748 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2015028748 | Missouri |
Profile Details
| NPI number | 1508126699 |
|---|---|
| LBN Legal business name | Abraham, Manjusha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Apr 15th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508126699 | NPPES |
| Missouri | MEDICAID | 200060677 |
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